What is the best approach to encourage women to undergo cervical cancer screening?

Updated: Feb 12, 2019
  • Author: Cecelia H Boardman, MD; Chief Editor: Warner K Huh, MD  more...
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Answer

A Cochrane review found that the best approach to encourage women to undergo cervical screening involved invitations. [50] These may take any of the following forms:

  • Appointments (fixed or open)

  • Letters

  • Telephone calls

  • Verbal recommendations

  • Prompts

  • Follow-up letters

These findings relate to screening in developed countries, however, and their relevance to developing countries is unclear. Further studies are required to determine the effectiveness of promising interventions, such as revealing in an invitation letter the gender of the smear taker, using a health promotion nurse, employing lay outreach health workers, and carrying out intensive attempts at recruitment.


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